NPIMap

Organization Active NPI

Minnewaska Area Schools #2149

  • Adolescent and Children Mental Health Clinic/Center
  • Starbuck, MN
National Provider Identifier
1306913017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MINNEWASKA AREA SCHOOLS #2149
Practice address
500 John St
Minnewaska Area Schools Day Treatment Program
Starbuck, MN 56381
Phone
(320) 239-2257
Fax
(320) 239-1420
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory F Ohl
Title
Superintendent of Schools
Phone
(320) 239-4820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

500 John St
Minnewaska Area Schools Day Treatment Program
Starbuck, MN 56381

Mailing address

25122 State Hwy 28
Glenwood, MN 56334
Phone (320) 239-4800

Other identifiers 3

IdentifierTypeStateIssuer
218GIMIOtherMNBLUE CROSS BLUE SHIELD
877946500MedicaidMN
050321002OtherMNPRIMEWEST HEALTH SYSTEMS

National Provider Directory

National Provider Directory
Tax ID family
Minnewaska Area School District 21492 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306913017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25122 STATE HWY 28",
            "city": "GLENWOOD",
            "state": "MN",
            "postal_code": "56334",
            "telephone_number": "320-239-4800",
            "fax_number": "320-239-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHN ST",
            "address_2": "MINNEWASKA AREA SCHOOLS DAY TREATMENT PROGRAM",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "56381",
            "telephone_number": "320-239-2257",
            "fax_number": "320-239-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEWASKA AREA SCHOOLS #2149",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OHL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "320-239-4820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "218GIMI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "877946500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST HEALTH SYSTEMS",
            "identifier": "050321002",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starbuck, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.